MCMedicalCodingSoftware
S96.221D

S96.221D: Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter

Billable / specific codeICD-10-CMPOA exemptright

S96.221D is a billable, specific ICD-10-CM code for laceration of intrinsic muscle and tendon at ankle and foot level, right foot, subsequent encounter. It is valid for submission on a claim.

Check S96.221D with the rest of the claim: free scrubber

7th character "D": subsequent encounter

The appropriate 7th character is to be added to each code from category S96

A
initial encounter
D
subsequent encounter
S
sequela

Excludes2 inherited from the categories above S96.221D

Not part of this code, but both may be coded when both are present.

Written on S96: Injury of muscle and tendon at ankle and foot level

  • injury of Achilles tendon (S86.0-)
  • sprain of joints and ligaments of ankle and foot (S93.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S96.221D is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56459Billing and Coding: Debridement Services
  • A57079Billing and Coding: Injections - Tendon, Ligament, and Ganglion Cyst
  • A57311Billing and Coding: Physical Therapy - Home Health

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S96.221

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.